Tick any of the following that you think contribute to your food/eating issues: *

AnxietyDepressionStressOverwhelmTiredness/FatiguePoor DietAlcoholBeing AloneEmotions/Mood (e.g. anger, loneliness, happiness, anxiety, stress, boredom, procrastination)Environment (particular situations, places, adverts or images of food or actual food)People (particular individuals or groups of people)Habits (e.g. always having something sweet after a meal)Time of Day (e.g. eating late at night, when you get home from work/school run, after the children are in bed)Other

(Please add details below) *

If there is anything else you'd like to add that you think may be helpful for me to know or be aware of then please write in the box below: *